We report a case of lumbosacral plexopathy caused by an isolated aneurysm in the common iliac artery. The patient presented with low back and buttock pain radiating to the right leg and numbness in the L5 and S1 dermatomes. A computed tomography scan showed an aneurysm of the right common iliac artery. This case serves to increase awareness of the possibility of lumbosacral plexopathy in patients with symptoms of a prolapsed intervertebral disc.
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http://dx.doi.org/10.1016/j.jemermed.2007.11.070 | DOI Listing |
Int J Spine Surg
January 2025
Ronald DeWald Endowed Professor of Spinal Deformities, Rush University Medical Center, Chicago, IL, USA.
The lateral transpsoas approach to lumbar interbody fusion has gained widespread adoption for a variety of indications. This approach to the interbody space allows for a favorable fusion environment, disc and neuroforaminal height restoration, and powerful alignment correction. Despite its minimally invasive nature, this procedure carries unique risks, the most severe of which include bowel injury, major vascular injury, and lumbosacral plexopathy.
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December 2024
Internal Medicine, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, GBR.
Diabetic lumbosacral radiculoplexus neuropathy, also known as diabetic lumbosacral plexopathy or diabetic amyotrophy, is a rare complication of diabetes mellitus. Due to its varied clinical presentation and wide differential, it may pose a diagnostic quandary in assessing patients with proximal asymmetrical lower limb weakness. We present the case of a 74-year-old female patient with a recent onset of falls and aim to discuss the aetiology, differentials, and treatment modalities in diabetic plexopathy.
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November 2024
Radiation Oncology, Shimane University Faculty of Medicine, Izumo, JPN.
Eur Radiol
October 2024
Department of Radiology, UT Southwestern, Dallas, TX, USA.
Purpose: To determine whether color-rendered 3D MR neurography (MRN) images (heatmaps) improve diagnostic accuracy, reader confidence levels, and time savings to assess LS plexus lesions compared to the conventional grayscale images.
Materials And Methods: A cross-sectional study included adults of all genders with randomly chosen MRNs of LS plexus and known reference standards of normal or neuropathy (plexopathy and radiculopathy). Heatmaps were constructed using 3D MRN STIR images and color rendered with higher intensity to yellow and lower intensity to darker-red colors in 1-2 min on average and were available on PACS for the readers.
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